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Montana rates for HCPCS G6013

Radiation treatment delivery, three or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.86 / $252.90 / $485.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.98 / $199.98 / $363.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.42 / $276.39 / $363.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.98 / $332.54 / $462.03